FORM 1023-EZ for MAD RUN INC

Field Data
EIN 46-4942268
Case Number EO-2014258-000423
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MAD RUN INC
Organization’s Mailing Address PO BOX 487
City FORT RECOVERY
State OH
ZIP 45846
Accounting period End 6
Primary contact name AMANDA WYERICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRIAN HUELSMAN
PRESIDENT
06878 STATE ROUTE 364
NEW BREMEN OH 45869

Officer/Director/Trustee Two

JULIE RINDLER
VICE PRESIDENT
538 S FOURTH STREET
COLDWATER OH 45828

Officer/Director/Trustee Three

GREG HOMAN
SECRETARY
621 ROBERT STREET
COLDWATER OH 45828

Officer/Director/Trustee Four

AMANDA WYERICK
TREASURER
PO BOX 194
FORT RECOVERY OH 45846

Organization’s website WWW.THEMADRUN.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/27/2014
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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